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公开(公告)号:US20100210998A1
公开(公告)日:2010-08-19
申请号:US12766118
申请日:2010-04-23
IPC分类号: A61M13/00
CPC分类号: A61M13/003 , A61B1/06 , A61B17/3417 , A61B17/3462 , A61B17/3474 , A61B17/3494 , A61B90/361 , A61B2017/3454 , A61B2017/346 , A61B2017/349 , A61M2202/0007 , A61M2202/02 , A61M2202/0468 , A61M2205/3337
摘要: An insufflating surgical instrument adapted for movement across an abdominal wall to insufflate an abdominal region of a patient is disclosed comprising a shaft having an insufflation channel extending along an axis between a proximal end and a distal end, the insufflation channel being adapted for connection to a source of fluid under pressure at the proximal end, a tip at the distal end of the shaft, and at least one vent hole formed at the tip or the shaft being in connection with the insufflation channel and being adapted to expel the fluid under pressure to insufflate the abdominal region. At least one of the tip and the shaft is formed of a translucent or transparent material such as polycarbonate to facilitate visualization of the abdominal wall and the abdominal region. The shaft includes a lumen extending along the axis between the proximal end and the distal end to enable insertion of a laparoscope. The lumen and insufflation channel may be formed as separate channels or as one shared channel. The tip may be blunt, the shaft and the tip may be integrally formed, and the vent hole may be of any geometric shape including round, oval, square and rectangular. The blunt tip may further comprise a marker to indicate penetration of the abdominal wall. In another aspect, the tip may be sharp, pointed or bladed to facilitate penetration of body tissue.
摘要翻译: 公开了一种适于穿过腹壁移动以吹入患者腹部区域的吹入式手术器械,包括具有沿近端和远端之间的轴延伸的吹入通道的轴,所述吹入通道适于连接到 在近端处于压力下的流体源,在轴的远端处的尖端,以及形成在尖端处的至少一个通气孔或与吹气通道连接的至少一个通气孔,并且适于在压力下将流体排出 灌注腹部区域。 尖端和轴中的至少一个由诸如聚碳酸酯的半透明或透明材料形成,以便于腹壁和腹部区域的可视化。 轴包括沿近端和远端之间的轴线延伸的腔,以能够插入腹腔镜。 管腔和吹气通道可以形成为单独通道或一个共享通道。 尖端可以是钝的,轴和尖端可以一体地形成,并且通气孔可以是包括圆形,椭圆形,正方形和矩形的任何几何形状。 钝尖可以进一步包括指示腹壁穿透的标记。 在另一方面,尖端可以是尖锐的,尖的或叶片的,以便于穿透身体组织。
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公开(公告)号:US07708713B2
公开(公告)日:2010-05-04
申请号:US11170567
申请日:2005-06-29
IPC分类号: A61M37/00
CPC分类号: A61M13/003 , A61B1/06 , A61B17/3417 , A61B17/3462 , A61B17/3474 , A61B17/3494 , A61B90/361 , A61B2017/3454 , A61B2017/346 , A61B2017/349 , A61M2202/0007 , A61M2202/02 , A61M2202/0468 , A61M2205/3337
摘要: An insufflating surgical instrument adapted for movement across an abdominal wall to insufflate an abdominal region of a patient is disclosed comprising a shaft having an insufflation channel extending along an axis between a proximal end and a distal end, the insufflation channel being adapted for connection to a source of fluid under pressure at the proximal end, a tip at the distal end of the shaft, and at least one vent hole formed at the tip or the shaft being in connection with the insufflation channel and being adapted to expel the fluid under pressure to insufflate the abdominal region. At least one of the tip and the shaft is formed of a translucent or transparent material such as polycarbonate to facilitate visualization of the abdominal wall and the abdominal region.
摘要翻译: 公开了一种适于穿过腹壁移动以吹入患者腹部区域的吹入式手术器械,包括具有沿近端和远端之间的轴延伸的吹入通道的轴,所述吹入通道适于连接到 在近端处于压力下的流体源,在轴的远端处的尖端,以及形成在尖端处的至少一个通气孔或与吹气通道连接的至少一个通气孔,并且适于在压力下将流体排出 灌注腹部区域。 尖端和轴中的至少一个由诸如聚碳酸酯的半透明或透明材料形成,以便于腹壁和腹部区域的可视化。
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公开(公告)号:US09155558B2
公开(公告)日:2015-10-13
申请号:US13356260
申请日:2012-01-23
CPC分类号: A61M13/003 , A61B1/06 , A61B17/3417 , A61B17/3462 , A61B17/3474 , A61B17/3494 , A61B90/361 , A61B2017/3454 , A61B2017/346 , A61B2017/349 , A61M2202/0007 , A61M2202/02 , A61M2202/0468 , A61M2205/3337
摘要: An insufflating surgical instrument adapted for movement across an abdominal wall to insufflate an abdominal region of a patient is disclosed. The instrument comprises a shaft having an insufflation channel extending between a proximal end and a distal end, the insufflation channel being adapted for connection to a source of fluid under pressure at the proximal end. A tip is at the distal end and a vent hole is formed in the tip being in connection with the insufflation channel and adapted to expel fluid under pressure to insufflate the abdominal region. The tip is formed of a transparent material to facilitate visualization of the abdominal wall and region. The shaft includes a lumen extending along the axis between the proximal end and the distal end to enable insertion of a laparoscope. The lumen and insufflation channel may be formed as separate channels or as one shared channel.
摘要翻译: 公开了一种适于穿过腹壁移动以吹入患者腹部区域的吹入式外科器械。 仪器包括具有在近端和远端之间延伸的吹入通道的轴,所述吹入通道适于连接到在近端处于压力下的流体源。 尖端在远端,并且在尖端中形成有与吹气通道连接的通气孔,并且适于在压力下排出流体以吸入腹部区域。 尖端由透明材料形成,以便于腹壁和区域的可视化。 轴包括沿近端和远端之间的轴线延伸的腔,以能够插入腹腔镜。 管腔和吹气通道可以形成为单独通道或一个共享通道。
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公开(公告)号:US20120123202A1
公开(公告)日:2012-05-17
申请号:US13356260
申请日:2012-01-23
CPC分类号: A61M13/003 , A61B1/06 , A61B17/3417 , A61B17/3462 , A61B17/3474 , A61B17/3494 , A61B90/361 , A61B2017/3454 , A61B2017/346 , A61B2017/349 , A61M2202/0007 , A61M2202/02 , A61M2202/0468 , A61M2205/3337
摘要: An insufflating surgical instrument adapted for movement across an abdominal wall to insufflate an abdominal region of a patient is disclosed. The instrument comprises a shaft having an insufflation channel extending between a proximal end and a distal end, the insufflation channel being adapted for connection to a source of fluid under pressure at the proximal end. A tip is at the distal end and a vent hole is formed in the tip being in connection with the insufflation channel and adapted to expel fluid under pressure to insufflate the abdominal region. The tip is formed of a transparent material to facilitate visualization of the abdominal wall and region. The shaft includes a lumen extending along the axis between the proximal end and the distal end to enable insertion of a laparoscope. The lumen and insufflation channel may be formed as separate channels or as one shared channel.
摘要翻译: 公开了一种适于穿过腹壁移动以吹入患者腹部区域的吹入式外科器械。 仪器包括具有在近端和远端之间延伸的吹入通道的轴,所述吹入通道适于连接到在近端处于压力下的流体源。 尖端在远端,并且在尖端中形成有与吹气通道连接的通气孔,并且适于在压力下排出流体以吸入腹部区域。 尖端由透明材料形成,以便于腹壁和区域的可视化。 轴包括沿近端和远端之间的轴线延伸的腔,以能够插入腹腔镜。 管腔和吹气通道可以形成为单独通道或一个共享通道。
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公开(公告)号:US20110112374A1
公开(公告)日:2011-05-12
申请号:US13006727
申请日:2011-01-14
IPC分类号: A61B1/32
CPC分类号: A61B17/0293 , A61B17/02 , A61B17/0218 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B90/40 , A61B2017/00477 , A61B2017/00526 , A61B2017/0225 , A61B2017/0287 , A61B2017/3419 , A61B2017/347 , A61B2050/005 , A61B2050/0051
摘要: The invention relates to a hand access laparoscopy device having a gelcap, a retainer, a sleeve and a retention ring. The gelcap includes gel that is bonded to a cap. The cap includes an inner cylindrical wall to which the gel in bonded, thereby providing a sealing area between the device and the wound in a body wall. By securing the gel to the inner cylindrical wall, the thickness of the gel and corresponding cap is minimized along with the overall footprint of the device. With the gel thickness reduced and able to be substantially flush, the “doming” phenomenon produced by insufflation of a patient's abdomen is reduced.
摘要翻译: 本发明涉及具有凝胶帽,保持器,套筒和保持环的手动腹腔镜装置。 凝胶帽包括结合到帽的凝胶。 该盖包括内部圆柱形壁,凝胶粘合到该内壁上,由此在该体壁中在该装置和该伤口之间提供密封区域。 通过将凝胶固定到内圆柱形壁上,凝胶和相应的盖的厚度与装置的总体占地面积最小化。 随着凝胶厚度降低并且能够基本上平齐,减少了通过吹入患者腹部产生的“穹隆”现象。
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公开(公告)号:US20100249527A1
公开(公告)日:2010-09-30
申请号:US12815986
申请日:2010-06-15
IPC分类号: A61B1/32
CPC分类号: A61B17/0293 , A61B17/02 , A61B17/0218 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B90/40 , A61B2017/00477 , A61B2017/00526 , A61B2017/0225 , A61B2017/0287 , A61B2017/3419 , A61B2017/347 , A61B2050/005 , A61B2050/0051
摘要: The invention relates to a hand access laparoscopy device having a gelcap, a retainer, a sleeve and a retention ring. The gelcap includes gel that is bonded to a cap. The cap includes an inner cylindrical wall to which the gel in bonded, thereby providing a sealing area between the device and the wound in a body wall. By securing the gel to the inner cylindrical wall, the thickness of the gel and corresponding cap is minimized along with the overall footprint of the device. With the gel thickness reduced and able to be substantially flush, the “doming” phenomenon produced by insufflation of a patient's abdomen is reduced.
摘要翻译: 本发明涉及具有凝胶帽,保持器,套筒和保持环的手动腹腔镜装置。 凝胶帽包括结合到帽的凝胶。 该盖包括内部圆柱形壁,凝胶粘合到该内壁上,由此在该体壁中在该装置和该伤口之间提供密封区域。 通过将凝胶固定到内圆柱形壁上,凝胶和相应的盖的厚度与装置的总体占地面积最小化。 随着凝胶厚度降低并且能够基本上平齐,减少了通过吹入患者腹部产生的“穹隆”现象。
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公开(公告)号:US07749415B2
公开(公告)日:2010-07-06
申请号:US11548746
申请日:2006-10-12
IPC分类号: B28B3/02
CPC分类号: A61B17/0293 , A61B17/02 , A61B17/0218 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B90/40 , A61B2017/00477 , A61B2017/00526 , A61B2017/0225 , A61B2017/0287 , A61B2017/3419 , A61B2017/347 , A61B2050/005 , A61B2050/0051
摘要: The invention relates to a hand access laparoscopy device having a gelcap, a retainer, a sleeve and a retention ring. The gelcap includes gel that is bonded to a cap. The cap includes an inner cylindrical wall to which the gel in bonded, thereby providing a sealing area between the device and the wound in a body wall. By securing the gel to the inner cylindrical wall, the thickness of the gel and corresponding cap is minimized along with the overall footprint of the device. With the gel thickness reduced and able to be substantially flush, the “doming” phenomenon produced by insufflation of a patient's abdomen is reduced.
摘要翻译: 本发明涉及具有凝胶帽,保持器,套筒和保持环的手动腹腔镜装置。 凝胶帽包括结合到帽的凝胶。 该盖包括内部圆柱形壁,凝胶粘合到该内壁上,由此在该体壁中在该装置和该伤口之间提供密封区域。 通过将凝胶固定到内圆柱形壁上,凝胶和相应的盖的厚度与装置的总体占地面积最小化。 随着凝胶厚度降低并且能够基本上平齐,减少了通过吹入患者腹部产生的“穹隆”现象。
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公开(公告)号:US08647265B2
公开(公告)日:2014-02-11
申请号:US13006727
申请日:2011-01-14
IPC分类号: A61B1/32
CPC分类号: A61B17/0293 , A61B17/02 , A61B17/0218 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B90/40 , A61B2017/00477 , A61B2017/00526 , A61B2017/0225 , A61B2017/0287 , A61B2017/3419 , A61B2017/347 , A61B2050/005 , A61B2050/0051
摘要: The invention relates to a hand access laparoscopy device having a gelcap, a retainer, a sleeve and a retention ring. The gelcap includes gel that is bonded to a cap. The cap includes an inner cylindrical wall to which the gel in bonded, thereby providing a sealing area between the device and the wound in a body wall. By securing the gel to the inner cylindrical wall, the thickness of the gel and corresponding cap is minimized along with the overall footprint of the device. With the gel thickness reduced and able to be substantially flush, the “doming” phenomenon produced by insufflation of a patient's abdomen is reduced.
摘要翻译: 本发明涉及具有凝胶帽,保持器,套筒和保持环的手动腹腔镜装置。 凝胶帽包括结合到帽的凝胶。 该盖包括内部圆柱形壁,凝胶粘合到该内壁上,由此在该体壁中在该装置和该伤口之间提供密封区域。 通过将凝胶固定到内圆柱形壁上,凝胶和相应的盖的厚度与装置的总体占地面积最小化。 随着凝胶厚度降低并且能够基本上平齐,减少了通过吹入患者腹部产生的“穹隆”现象。
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公开(公告)号:US08388526B2
公开(公告)日:2013-03-05
申请号:US12108400
申请日:2008-04-23
申请人: Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Payam Adlparvar , Scott V. Taylor , Gary R. Dulak , Michael J. Dunn , Norman L. Morales , Charles C. Hart , Robert R. Bowes
发明人: Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Payam Adlparvar , Scott V. Taylor , Gary R. Dulak , Michael J. Dunn , Norman L. Morales , Charles C. Hart , Robert R. Bowes
IPC分类号: A61B17/02
CPC分类号: A61B1/32 , A61B17/0293 , A61B17/3423 , A61B17/3431 , A61B2017/3484
摘要: A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring. Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force. An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.
摘要翻译: 外科伤口牵开器适于将可拉伸至期望直径的伤口扩张,牵开器包括直径大于伤口所需直径的第一环,并适于在伤口内部配置。 第二环的直径大于伤口所需的直径,并且适于在伤口的外部配置。 多个退回元件在第一环和第二环之间以大致圆柱形的关系设置。 这些元件延伸穿过伤口以在伤口上施加径向缩回力,这取决于分离第一环和第二环的距离。 缩回元件,可扩张和不扩张两者都可以在环上使用适当的附接装置来设计,以提供收缩力的变化。 利用合适的缩回套筒,可以提供第三环以形成圆周保持器以改变收回力。 环也可以制成充气或自膨胀以改变收缩力。 相关联的方法包括在第三环周向滚动第二环以形成周向保持器的步骤。
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公开(公告)号:US20080200767A1
公开(公告)日:2008-08-21
申请号:US12108400
申请日:2008-04-23
申请人: Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Payam Adlparvar , Scott V. Taylor , Gary R. Dulak , Michael J. Dunn , Norman L. Morales , Charles C. Hart , Robert R. Bowes
发明人: Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Payam Adlparvar , Scott V. Taylor , Gary R. Dulak , Michael J. Dunn , Norman L. Morales , Charles C. Hart , Robert R. Bowes
IPC分类号: A61B1/32
CPC分类号: A61B1/32 , A61B17/0293 , A61B17/3423 , A61B17/3431 , A61B2017/3484
摘要: A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring. Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force. An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.
摘要翻译: 外科伤口牵开器适于将可拉伸至期望直径的伤口扩张,牵开器包括直径大于伤口所需直径的第一环,并适于在伤口内部配置。 第二环的直径大于伤口所需的直径,并且适于在伤口的外部配置。 多个退回元件在第一环和第二环之间以大致圆柱形的关系设置。 这些元件延伸穿过伤口以在伤口上施加径向缩回力,这取决于分离第一环和第二环的距离。 缩回元件,可扩张和不扩张两者都可以在环上使用适当的附接装置来设计,以提供收缩力的变化。 利用合适的缩回套筒,可以提供第三环以形成圆周保持器以改变收回力。 环也可以制成充气或自膨胀以改变收缩力。 相关联的方法包括在第三环周向滚动第二环以形成周向保持器的步骤。
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